Provider Demographics
NPI:1275910697
Name:HUI, IAN (OD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:
Last Name:HUI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346 MORMON TREK BLVD
Mailing Address - Street 2:STE 1400
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4372
Mailing Address - Country:US
Mailing Address - Phone:773-241-9111
Mailing Address - Fax:319-341-7884
Practice Address - Street 1:2346 MORMON TREK BLVD STE 1400
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4372
Practice Address - Country:US
Practice Address - Phone:319-338-2020
Practice Address - Fax:319-341-7884
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT2952152W00000X
IA098907152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist